New York Vascular Medicine PLLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

NEW YORK VASCULAR MEDICINE PLLC

Practice address

3049 Ocean Pkwy Ste 303
Brooklyn, NY 11235-8367

Phone

(718) 737-7200

Fax

(888) 960-2493

NPI assigned

Jan 31, 2020

Last updated

Oct 31, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Lev Pukin, MDNPI 1609849546

Title

Authorized Official

Phone

(718) 737-7200

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lev Pukin, MD

  • Vascular & Interventional Radiology Physician
  • Brooklyn, NY
  • NPI 1609849546

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• Alexandra Hanin

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1528745510
  Medicare reassignment Care Compare group NPD
• Natalia Epshteyn, FNP

  • Family Nurse Practitioner
  • Toms River, NJ
  • NPI 1992378004

  NY

  Medicare reassignment NPD
• Iosif Kaydanov, FNP

  • Family Nurse Practitioner
  • Staten Island, NY
  • NPI 1831954791
  Medicare reassignment
• Rachel Zezon

  • Gerontology Nurse Practitioner
  • Somerset, NJ
  • NPI 1659012979
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604102400000",
    "number": "1053942797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 OCEAN PKWY STE 303",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358367",
            "telephone_number": "718-737-7200",
            "fax_number": "888-960-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 OCEAN PKWY STE 303",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112358367",
            "telephone_number": "718-737-7200",
            "fax_number": "888-960-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK VASCULAR MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-31",
        "last_updated": "2020-10-31",
        "certification_date": "2020-10-31",
        "status": "A",
        "authorized_official_last_name": "PUKIN",
        "authorized_official_first_name": "LEV",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "718-737-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York University
• New York University (NYU Medical - Williamsburg)
• New York Urban League
• New York Vamc
• New York Vamc
• New York Vein Care PLLC
• New York Vein Center
• New York Wellness PT PC
• New York Women's Medical Care P.C.
• New York Young People 4 Young People

• Vascular & Interventional Radiology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Vascular & Interventional Radiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.